Determinants of Catastrophic Health Expenditures: The Case of Turkey

Banu Beyaz Sipahi

Makale detayları

Determinants of Catastrophic Health Expenditures: The Case of Turkey

Yazarlar:

Banu Beyaz Sipahi

Yayıncı:

Alanya Alaaddin Keykubat Üniversitesi

Ana Başlıklar:

Ekonomi

Dergi:

Alanya Akademik Bakış Vol.7 Issue 2, pp.629-648

Belge Tipi:

Makale

Yayın Tarihi:

5/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001290637

pISSN:

2651-4192

Anahtar kelimeler:

Özet:

 Equal access to healthcare services and their usage is important because the utilization of healthcare services can create an unforeseeable financial burden on individuals and households. It has been stated that if households have to finance their healthcare services by reducing their basic expenses or if out-of-pocket expenditures exceed or encompass a significant portion of household expenditures during a certain period, catastrophic health spending occurs. Study uses the data of Household Budget Expenditure Survey by Turkstat with 2018 year. The determinants of catastrophic health expenditures were determined with the logit model and the impoverishing effect of these expenditures was evaluated together. According to the results, the proportion of households spending on catastrophic health was calculated as 1.43 and the proportion of households being driven to poverty as a result of catastrophic health expenditures was calculated as 0.26 . In addition, the presence of an individual aged 65 and over in the household and the lowest income group increase the likelihood of catastrophic health spending. It has been concluded that these expenditures deepen poverty together with the high rate of catastrophic health expenditures in low-income groups in Turkey.

 Equal access to healthcare services and their usage is important because the utilization of healthcare services can create an unforeseeable financial burden on individuals and households. It has been stated that if households have to finance their healthcare services by reducing their basic expenses or if out-of-pocket expenditures exceed or encompass a significant portion of household expenditures during a certain period, catastrophic health spending occurs. Study uses the data of Household Budget Expenditure Survey by Turkstat with 2018 year. The determinants of catastrophic health expenditures were determined with the logit model and the impoverishing effect of these expenditures was evaluated together. According to the results, the proportion of households spending on catastrophic health was calculated as 1.43 and the proportion of households being driven to poverty as a result of catastrophic health expenditures was calculated as 0.26 . In addition, the presence of an individual aged 65 and over in the household and the lowest income group increase the likelihood of catastrophic health spending. It has been concluded that these expenditures deepen poverty together with the high rate of catastrophic health expenditures in low-income groups in Turkey.

 Equal access to healthcare services and their usage is important because the utilization of healthcare services can create an unforeseeable financial burden on individuals and households. It has been stated that if households have to finance their healthcare services by reducing their basic expenses or if out-of-pocket expenditures exceed or encompass a significant portion of household expenditures during a certain period, catastrophic health spending occurs. Study uses the data of Household Budget Expenditure Survey by Turkstat with 2018 year. The determinants of catastrophic health expenditures were determined with the logit model and the impoverishing effect of these expenditures was evaluated together. According to the results, the proportion of households spending on catastrophic health was calculated as 1.43 and the proportion of households being driven to poverty as a result of catastrophic health expenditures was calculated as 0.26 . In addition, the presence of an individual aged 65 and over in the household and the lowest income group increase the likelihood of catastrophic health spending. It has been concluded that these expenditures deepen poverty together with the high rate of catastrophic health expenditures in low-income groups in Turkey.

 Sağlık hizmetlerine ulaşımının ve kullanımının eşit bir şekilde sağlanması önem arz etmektedir. Çünkü sağlık hizmetleri kullanımı bireyler ve hanehalkları üzerinde öngörülemeyecek finansal yük yaratabilmektedir. Belirli bir dönemde hanelerin sağlık hizmetlerini finanse edebilmek için temel harcamalarını kısması ya da cepten yapılan harcamalarının hanehalkının harcamasını aşması veya büyük bir bölümünü kapsaması durumunda katastrofik sağlık harcaması ortaya çıktığı ifade edilmiştir. Türkiye İstatistik Kurumunun TÜİK 2018 Hanehalkı Bütçe Anketi HBA verileri kullanılarak, katastrofik sağlık harcamalarının belirleyicileri lojistik regresyon modeli ile incelenmiş ve bu harcamaların yoksullaştırıcı etkisi birlikte değerlendirilmiştir. Sonuçlara göre, katastrofik sağlık harcaması yapan hane oranı 1.43 ve katastrofik sağlık harcamaları sonucunda yoksulluğa sürüklenen hane oranı ise 0.26 olarak hesaplanmıştır. Hanede 65 yaş ve üstü bireyin olması ve en düşük gelir grubun katastrofik sağlık harcama yapma olasılığını artırmaktadır. Oysa hanehalkı büyüklüğünün artması, hanede beş yaş ve altı bireyin olması, hanehalkı reisinin evli olması ve hanede lise ve üstü eğitim düzeyine sahip bireyin olması katastrofik sağlık harcama yapma olasılığını azaltmaktadır. Türkiyede düşük gelir gruplarında katastrofik sağlık harcama oranı yüksek olması ile birlikte bu harcamaların yoksulluğu derinleştirdiği sonucuna ulaşılmıştır.

Makale detayları

Determinants of Catastrophic Health Expenditures: The Case of Turkey

Yazarlar:

Banu Beyaz Sipahi

Yayıncı:

Alanya Alaaddin Keykubat Üniversitesi

Ana Başlıklar:

Ekonomi

Dergi:

Alanya Akademik Bakış Vol.7 Issue 2, pp.629-648

Belge Tipi:

Makale

Yayın Tarihi:

5/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001290637

pISSN:

2651-4192

Catastrophic Health Expenditures

Poverty

Out-of-Pocket Health Expenditures

Socio-Economic FactorsKatastrofik Sağlık Harcaması

Yoksulluk

Cepten Yapılan Sağlık Harcaması

Sosyoekonomik Faktörler

Sayı

Makale detayları

Yazarlar: Banu Beyaz Sipahi

Yayıncı: Alanya Alaaddin Keykubat Üniversitesi

Ana Başlıklar: Ekonomi

Dergi: Alanya Akademik Bakış Vol.7 Issue 2, pp.629-648

Belge Tipi: Makale

Yayın Tarihi: 5/2023

Belge Dili: Türkçe

Document ID (Org No.): 2001290637

pISSN: 2651-4192

Sayı

Yazarlar:

Banu Beyaz Sipahi

Yayıncı:

Alanya Alaaddin Keykubat Üniversitesi

Ana Başlıklar:

Ekonomi

Dergi:

Alanya Akademik Bakış Vol.7 Issue 2, pp.629-648

Belge Tipi:

Makale

Yayın Tarihi:

5/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001290637

pISSN:

2651-4192